Paul Jerome P Custodio (NPI# 1093997280, PAC ID# 8123306164) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1093997280 |
| PAC ID by PECOS | 8123306164 |
| Professional Enrollment ID | I20161026002469 |
| Full Name | Paul Jerome P Custodio |
| Organization Legal Name | ALLEGHENY CLINIC |
| Address |
1301 Carlisle St Natrona Heights PA 15065-1152 |
| Gender | M |
| Medical School | UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 5395649586 |
| Number of Group Practice Members | 1432 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390032 | ALLEGHENY VALLEY HOSPITAL |
| 390050 | ALLEGHENY GENERAL HOSPITAL |
| 390267 | FORBES HOSPITAL |
| 390163 | ACMH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1900 Waterdam Plaza Dr Fl, 2 The Center for Diabetes and Endocrine Health, Canonsburg, PA 15317-5442 | 7249417490 | ALLEGHENY CLINIC |
| 1301 Carlisle St, Natrona Heights, PA 15065-1152 | ALLEGHENY CLINIC | |
| 356 Freeport St, New Kensington, PA 15068-6071 | ALLEGHENY CLINIC | |
| 320 E N Ave, Pittsburgh, PA 15212-4756 | ALLEGHENY CLINIC | |
| 320 E N Ave 401 S Tower, Wpahs Plastic Surgeons, Pittsburgh, PA 15212-4756 | 4123594352 | ALLEGHENY CLINIC |
| 320 E N Ave Fl, Pittsburgh, PA 15212-4756 | ALLEGHENY CLINIC | |
| 320 E N Ave Fl 4 Cancer Ctr, Division of Hematology and Cellular Therapy, Pittsburgh, PA 15212-4756 | 4123593065 | ALLEGHENY CLINIC |
| 320 E N Ave Rm, 363 Mcginnis Thoracic and Cardiovascular Associates, Pittsburgh, PA 15212-4756 | 4123596137 | ALLEGHENY CLINIC |
| Organization Legal Name | ALLEGHENY CLINIC |
| Physicians | 1545 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Prudnick | Obstetrics/gynecology | Allegheny Clinic | 601 Holiday Dr, Pittsburgh, PA 15220-2728 |
| Bindu V Rusia | Radiation Oncology | Allegheny Clinic | 2626 Haymaker Rd, Monroeville, PA 15146-3516 |
| Kristy L Bowman | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Kathryn Barr | Physical Therapy | Allegheny Clinic | 1013 Wexford Plaza Dr, Ahn Therapy Services, Wexford, PA 15090-9214 |
| Lois Schertz | Nurse Practitioner | Allegheny Clinic | 1616 Pacific Ave, Natrona Heights, PA 15065-2101 |
| Caley A Lombardo | Nurse Practitioner | Allegheny Clinic | 1624 Pacific Ave, Suite B, Natrona Heights, PA 15065-2145 |
| Kady Miletti | Family Medicine | Allegheny Clinic | 1130 Perry Hwy, Pittsburgh, PA 15237-2142 |
| Alexandra M Johnston | Internal Medicine | Allegheny Clinic | 4727 Friendship Ave, Suite 200, Pittsburgh, PA 15224-1778 |
| Katlyn M Hostetler | Physician Assistant | Allegheny Clinic | 314 S Kimberly Ave, Somerset, PA 15501-2223 |
| Zachary Horne | Radiation Oncology | Allegheny Clinic | 81 Wagner Rd, Agh Radiation Oncology, Monaca, PA 15061-2329 |
| Street Address |
1301 CARLISLE ST |
| City | NATRONA HEIGHTS |
| State | PA |
| Zip | 15065-1152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristy L Bowman | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Richard E Lynch | Anesthesiology | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Philip Henry Symes | Hematology/oncology | Allegheny Clinic Medical Oncology | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Riccardo Marinelli | Anesthesiology | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Selena Gurreri | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Joseph H Houda | Thoracic Surgery | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Barry Alexander Marks | Anesthesiology | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Deborah Blair Zieger | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Deborah Davison | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Alison L Sukits | Physician Assistant | Ahn Hospitalist Group Ltd | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marjorie O Tavoularis | Psychiatry | Family Services of Western Pennsylvania | 1350 Broadview Blvd, Natrona Heights, PA 15065-1143 |
| Shauna C Frantz | Clinical Social Worker | Family Services of Western Pennsylvania | 1350 Broadview Blvd, Natrona Heights, PA 15065-1143 |
| Zachri W Buzzinotti | Internal Medicine | Ahn Hospitalist Group Ltd | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Mazin Albert | Anesthesiology | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Karen L Samuels | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Patricia Eisner | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Jason A Colberg | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Adam Christopher Bruton | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Kirsi Marja M Dolinger | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| William J Antonucci | Certified Registered Nurse Anesthetist (crna) | Allegheny Clinic | 1301 Carlisle St, Natrona Heights, PA 15065-1152 |
| Find all physicians in zip 15065 | |||
| City | NATRONA HEIGHTS |
| Zip Code | 15065 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | NATRONA HEIGHTS + ENDOCRINOLOGY |
Please comment or provide details below to improve the information on Paul Jerome P Custodio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.